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  • Titulo Artículo: Pediatric Trainees Managing a Difficult Airway: Comparison of Laryngeal Mask Airway, Direct, and Video-Assisted Laryngoscopy
  • Resumen: Objective Difficult airway management is a key skill required by all pediatric physicians, yet training on multiple modalities is lacking. The objective of this study was to compare the rate of, and time to, successful advanced infant airway placement with direct laryngoscopy, video-assisted laryngoscopy, and laryngeal mask airway (LMA) in a difficult airway simulator. This study is the first to compare the success with 3 methods for difficult airway management among pediatric trainees. Study Design Randomized crossover pilot study. Setting Tertiary academic medical center. Methods Twenty-two pediatric residents, interns, and medical students were tested. Participants were provided 1 training session by faculty using a normal infant manikin. Subjects then performed all 3 of the aforementioned advanced airway modalities in a randomized order on a difficult airway model of a Robin sequence. Success was defined as confirmed endotracheal intubation or correct LMA placement by the testing instructor in ≤120 seconds. Results Direct laryngoscopy demonstrated a significantly higher placement success rate (77.3%) than video-assisted laryngoscopy (36.4%, P =. 0117) and LMA (31.8%, P =. 0039). Video-assisted laryngoscopy required a significantly longer amount of time during successful intubations (84.8 seconds; 95% CI, 59.4-110.1) versus direct laryngoscopy (44.9 seconds; 95% CI, 33.8-55.9) and LMA placement (36.6 seconds; 95% CI, 24.7-48.4).
  • Autores: Kastley Marvin , Colleen Perez , Cory Gaconnet, Chelsie Byrnes, Chris Cornelissen, Matthew Brigger, Art Ambrosio, .
  • Titulo Revista: OTO Open, .
  • Numero: 2
  • Volumen:1
  • Fecha de publicación: 2017.
  • Base de Datos Bibliográfica: Otra , .
  • Suplemento:
  • Idioma: Inglés
  • Página Inicial: 1 Página Final: 5
  • ISBN: 2473-974X